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12101 et seq. Oklahoma Worker s Compensation Act 85 Okla.Stat. 1 et seq. 31 U.S.C. 1352 and 45 C. F.R. 93. PARTIES AND DEFINITIONS Oklahoma Health Care Authority a OHCA is the single state agency that the Oklahoma Legislature has designated through 63 Oklahoma Statutes Okla. Stat. 5009 B to administer Oklahoma s Medicaid program known as SoonerCare. b OHCA has authority to enter into this Agreement pursuant to 63 Okla. Stat. Payments from OHCA OHCA shall pay PROVIDER for services in...

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How to fill out lactation consultant provider agreement

01

Step 1: Obtain the lactation consultant provider agreement form from the relevant authority or organization.

02

Step 2: Read the instructions and requirements mentioned in the form carefully.

03

Step 3: Fill out your personal information, including your name, contact details, and professional credentials.

04

Step 4: Provide details about your education, training, and certifications related to lactation counseling.

05

Step 5: Specify the type of services you are willing to offer as a lactation consultant.

06

Step 6: Mention your fee structure for the services provided.

07

Step 7: Review the terms and conditions of the agreement thoroughly to ensure compliance.

08

Step 8: Sign the agreement at the designated area and date it.

09

Step 9: Make a copy of the filled-out agreement for your records.

10

Step 10: Submit the completed lactation consultant provider agreement to the relevant authority or organization.

Who needs lactation consultant provider agreement?

01

Lactation consultants who intend to provide their services to healthcare facilities or organizations.

02

Private lactation consultants who offer their services to individual clients.

03

Organizations that employ or contract lactation consultants.

04

Healthcare facilities, including hospitals, birthing centers, and clinics, that require lactation support services.

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What is lactation consultant provider agreement?

A lactation consultant provider agreement is a contract between a lactation consultant and a healthcare facility or insurance provider outlining the terms of services provided.

Who is required to file lactation consultant provider agreement?

Lactation consultants who provide services through healthcare facilities or insurance providers are required to file the agreement.

How to fill out lactation consultant provider agreement?

The agreement should be filled out with accurate information regarding services provided, fees, terms of payment, and other relevant details.

What is the purpose of lactation consultant provider agreement?

The purpose of the agreement is to establish clear expectations and responsibilities between the lactation consultant and the healthcare facility or insurance provider.

What information must be reported on lactation consultant provider agreement?

Information such as contact details, services provided, fees, terms of payment, and any other relevant information should be reported on the agreement.

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